Individual
GREGGORY AARON ESCALANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, BCBA
Contact information
Practice address
4959 UTICA RIDGE RD, DAVENPORT, IA 52807-3063
(563) 362-9631
Mailing address
4959 UTICA RIDGE RD, DAVENPORT, IA 52807-3063
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-75792
IA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/09/2018
Last updated
09/18/2024
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